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<br />ljU- f tj'J-U~.W <br /> <br />vllY UI L.~/-IIIYIIIIII;:' rOllllH '"'........"ve...'v' , <br />Building Department <br /> <br /> <br />Dale Received <br /> <br />Owner's Name <br /> <br />Fee Simple Titleholder Address <br />I <br /> <br />SUBDIVISION <br /> , <br /> i ~ B D D D <br />WORK PROPOSEDI NEW CONSTR ADDiALT SIGN MOVE <br /> INSTALL REPAIR <br />PROPOSED USE [Xl SFR D COMM D OTHER I <br />TYPE OF CONSTR~CTION D BLOCK OCJ FRAME D STEEL I]J OTHER I dtun <br />DESCRIPTION OF ~ORK I Shed + &rpDrt- <br />BUILDING SIZE IJ...-)I )< 381 SQ FOOTAGE I '+1 ~ l' HEIGHT I <br /> <br />JOB ADDRESS <br /> <br />Q!L <br /> <br />D <br /> <br />1$ (~ /fOO. <br />1$ <br /> <br />1$ <br /> <br />1$ <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />BUILDIN <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br />'507<; <br /> <br />~7)tl~'[- 17,1.'" <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />D <br />D <br />D <br /> <br />, <br />I <br />ELECTRI~AL <br /> <br />PLUMBIN$ <br /> <br />MECHANlbAL <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />ROOFING <br /> <br /> <br /> <br />BUILDER <br />SIGNATURE <br />Address K;I) <br />ELECTRICIAN <br />SIGNATURE <br />Address <br />PLUMBER <br />SIGNATURE <br />Address <br />MECHANICAL <br />SIGNATURE <br />Address <br />OTHER <br />SIGNATURE <br />Address <br /> <br /> <br />D <br /> <br />o <br />~OC- ~ <br /> <br />PROGRESS ENERGY <br /> <br />W.R.E.C. <br /> <br />OTHER <br />DYES <br /> <br />ONO <br /> <br />I S~~~k;EE~~~;Y]~ I <br />2- License # I CBC / ~5 Ltl g 3 <br /> <br />YI N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />RESIDENTIAL ttach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br />inimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed, <br />anitary Faclllties & 1 dumpster; Site Work Permit for subdlvisions/large projects <br />COMMERCIAL ttach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. <br />inlmum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wi Slit Fence installed, <br />anltary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br />SIGN PERMIT J\,ttach (2) sets of Engineered Plans. <br />*r"PROPERTY SURVEY required for all NEW construction. <br />III " I " I11111 " " III , II11I " III " 11II11111 " I " " I111I1 " II " I " " " I " 1111111 " III " I " 1111II11111111 " 1I1111 " 1III1111111111111 " 11111I11111111 <br />Directions: <br />Fill out appllcatio completely. <br />Owner & Contrac r sign back of application, notarized <br />If over $2500, a otlce of Commencement is required. (AlC upgrades over $5000) <br /> <br />Agent (for the con ractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTE PERMITTING (Front of Application Only) <br />Reroofs S wers Service Upgrades Ale Fences (PloVSurvey/Footage) <br /> <br />Driveways-Not 0 er Counter if on public roadways..needs ROW <br />